Individual
DR. BART THEODORE ENDRIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D/PH.D.
Contact information
Practice address
500 OSBORNE RD NE STE 330, FRIDLEY, MN 55432-2769
(763) 571-4000
Mailing address
119 14TH ST NW STE 240, NEW BRIGHTON, MN 55112-0007
(763) 571-4000
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
52206
MN
Other
Enumeration date
08/29/2007
Last updated
08/22/2022
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